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[使用荧光物质对胆管进行术中可视化。一项可行性研究]

[The intraoperative visualization of the bile ducts by the use of fluorescent substances. A feasibility study].

作者信息

Oddi A, Di Nicola V, Panzini A, Berni A, Lucci S, Greco L, Urciuoli P, Custureri F

机构信息

Istituto di III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.

出版信息

G Chir. 1996 Nov-Dec;17(11-12):620-3.

PMID:9162189
Abstract

Iatrogenic bile duct injury during cholecystectomy is the most serious complication of this surgical procedure. Initial reports suggest that this complication is particularly problematic during laparoscopic cholecystectomy. Proper identification of biliary anatomy in the subhepatic region is the only way to avoid this severe complication. The potential benefit from a simple, reliable method for intraoperative delineation of biliary anatomy is self-evident. In this experimental work the Authors-study the possibility and the feasibility of intraoperative biliary tree imaging with two fluorescent molecules (rolitetracyclin and fluorescin).

摘要

胆囊切除术中医源性胆管损伤是该外科手术最严重的并发症。初步报告表明,这种并发症在腹腔镜胆囊切除术中尤其成问题。正确识别肝下区域的胆管解剖结构是避免这种严重并发症的唯一方法。一种简单、可靠的术中胆管解剖结构描绘方法的潜在益处不言而喻。在这项实验工作中,作者研究了使用两种荧光分子(罗利环素和荧光素)进行术中胆管树成像的可能性和可行性。

相似文献

1
[The intraoperative visualization of the bile ducts by the use of fluorescent substances. A feasibility study].[使用荧光物质对胆管进行术中可视化。一项可行性研究]
G Chir. 1996 Nov-Dec;17(11-12):620-3.
2
Intraoperative biliary tree imaging with cholyl-lysyl-fluorescein: an experimental study in the rabbit.使用胆酰-赖氨酰-荧光素进行术中胆道成像:在兔身上的实验研究
Surg Laparosc Endosc. 1996 Jun;6(3):198-200.
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[Laparoscopic cholecystectomy--accessory bile ducts].[腹腔镜胆囊切除术——副胆管]
Acta Med Croatica. 2003;57(2):105-9.
4
Fluorescence-guided laparoscopic cholecystectomy: a new technique for visualization of biliary system by using fluorescein.荧光引导下的腹腔镜胆囊切除术:一种使用荧光素可视化胆道系统的新技术。
Surg Innov. 2013 Apr;20(2):105-8. doi: 10.1177/1553350612442794. Epub 2012 Apr 2.
5
Biliary navigation surgery using endoscopic nasobiliary drainage tube for the prevention of bile duct injury in laparoscopic cholecystectomy.使用内镜鼻胆管引流管进行胆道导航手术预防腹腔镜胆囊切除术中胆管损伤
Hepatogastroenterology. 2007 Jun;54(76):1018-9.
6
[Surgical treatment of iatrogenic bile duct injuries following laparoscopic cholecystectomy: analysis of long-term results. Retrospective clinical study in 51 patients operated in the Campania region from 1991 to 2003].[腹腔镜胆囊切除术后医源性胆管损伤的外科治疗:长期结果分析。对1991年至2003年在坎帕尼亚地区接受手术的51例患者的回顾性临床研究]
Chir Ital. 2005 Jul-Aug;57(4):417-24.
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Intraoperative bile duct visualization using near-infrared hyperspectral video imaging.使用近红外高光谱视频成像进行术中胆管可视化。
Am J Surg. 2008 Apr;195(4):491-7. doi: 10.1016/j.amjsurg.2007.05.044.
8
Post-laparoscopic cholecystectomy bile leak secondary to an accessory duct of Luschka.腹腔镜胆囊切除术后继发于卢氏副胆管的胆漏
Int Surg. 1999 Jan-Mar;84(1):86-8.
9
Bile duct injury during laparoscopic cholecystectomy without operative cholangiography.未行术中胆管造影的腹腔镜胆囊切除术中的胆管损伤
Br J Surg. 1998 Feb;85(2):191-4. doi: 10.1046/j.1365-2168.1998.00568.x.
10
Current management of bile duct injury.胆管损伤的当前管理
Br J Surg. 2008 Apr;95(4):403-5. doi: 10.1002/bjs.6199.

引用本文的文献

1
Fluorescence Guided Cholecystectomy by a Single Group: Initial 47 Procedures Experience in Mexico.荧光引导胆囊切除术:墨西哥的初步 47 例经验。
JSLS. 2022 Jul-Sep;26(3). doi: 10.4293/JSLS.2022.00043.
2
Tumor visualization and fluorescence angiography with indocyanine green (ICG) in laparoscopic and robotic hepatobiliary surgery - valuation of early adopters from Germany.腹腔镜和机器人肝胆手术中使用吲哚菁绿(ICG)进行肿瘤可视化和荧光血管造影——来自德国早期采用者的评估
Innov Surg Sci. 2021 Apr 22;6(2):59-66. doi: 10.1515/iss-2020-0019. eCollection 2021 Jun.
3
Laparoscopic cholecystectomy for cholecystitis using direct gallbladder indocyanine green injection fluorescence cholangiography: A case report.
使用直接胆囊注射吲哚菁绿荧光胆管造影术行腹腔镜胆囊切除术治疗胆囊炎:一例报告
Ann Med Surg (Lond). 2020 Aug 4;57:218-222. doi: 10.1016/j.amsu.2020.07.057. eCollection 2020 Sep.
4
Biliary tract visualization using near-infrared imaging with indocyanine green during laparoscopic cholecystectomy: results of a systematic review.腹腔镜胆囊切除术中使用吲哚菁绿近红外成像进行胆道可视化:系统评价结果
Surg Endosc. 2017 Jul;31(7):2731-2742. doi: 10.1007/s00464-016-5318-7. Epub 2016 Nov 14.